Early enforced mobilization after liver resection: A prospective randomized controlled trial
Chun-Yan Ni, Zhi-Hong Wang, Zhi-Ping Huang, Hui Zhou, Li-Juan Fu, Hui Cai, Xuan-Xuan Huang, Yuan Yang, Hui-Fen Li, Wei-Ping Zhou, Chun-Yan Ni, Zhi-Hong Wang, Zhi-Ping Huang, Hui Zhou, Li-Juan Fu, Hui Cai, Xuan-Xuan Huang, Yuan Yang, Hui-Fen Li, Wei-Ping Zhou
Abstract
Objective: This randomized controlled study investigated the feasibility of early ambulation after liver resection and the effect of the amount of activity on postoperative recovery.
Methods: A total of 120 patients who underwent liver resection were randomly divided into two groups for the comparative analysis of the following factors: amount of activity, pain control, sleeping state, perioperative gastrointestinal function recovery, incidence of complications and postoperative hospital stay.
Results: Compared with the control group, patients undergoing liver resection performing early postoperative ambulation had faster gastrointestinal function recovery (First exhaust time 2.2 ± 1.4 vs. 3.3 ± 2.3 p < 0.01; First flatus time 2.3 ± 1.7 vs. 3.1 ± 2.5 p = 0.04) and shorter postoperative hospital stays (6.6 ± 2.3 vs. 7.7 ± 2.1 p = 0.01), with statistically significant differences. There was no significant difference in the incidence of postoperative complications between the two groups (p > 0.05).
Conclusion: Early ambulation after liver resection is safe and feasible. It can reduce the patient's pain and economic burden, increase the patient's comfort, reduce the nursing workload, achieve rapid recovery, and improve patient satisfaction.
Keywords: Activity amount; Early ambulation; Enhanced Recovery After Surgery (ERAS); Liver resection; Nursing.
Copyright © 2018 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Source: PubMed